Pavlos I Kymissis, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

128862 Issued in NY

Practice address

7136 110TH St
Suite 1a
Forest Hills, NY 11375-4852

Phone

(718) 544-8506

Fax

(914) 674-4572

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1968

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821157058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAKE DR",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401137",
            "telephone_number": "516-365-7214",
            "fax_number": "516-365-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 110TH ST",
            "address_2": "SUITE 1A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754852",
            "telephone_number": "718-544-8506",
            "fax_number": "914-674-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYMISSIS",
        "first_name": "PAVLOS",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "128862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kuttler
• Adina Kuyunov
• Osnat Kuyunov, DDS, MS
• Andrew Michael Kwong, PHARMD
• Young Hun Kye, M.D.
• L & M Pharmacy and Surgical Supplies LLC
• L.J. Jones Surgical Co. Inc
• L.J. Jones Surgical Co. Inc.
• L@R Bilingual Service Center
• L&G Enterprises USA LLC

• Psychiatry Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.